Suggest A Good Non-warfarin Anticoagulants

Posted on Wed, 22 Jun 2016

Question: Father in law is going to be put on a non- warfarin blood thinner for pulmonary emboli as soon as the heparin clears them up. Don't know which one and don't have a list of his meds (out of state) so can'y enter them in the form on this site.Can I just get list for each of the 4 drugs listed in this article?

Answered by Dr. Drkaushal85 (52 minutes later)

Brief Answer:
There is no article in this question.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Non warfarin anticoagulants are following.
1. Dabigatran
2. Rivaroxaban
3. Apixaban
4. Edoxaban.
Sorry to say but there is no article in this question.
About which articles you are talking about?
I will be happy to help you further. Wishing good health to your father. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (3 hours later)

I have the list of 4 anticoagulants. I need to know what other Rx should not be taken with them.

Answered by Dr. Drkaushal85 (39 minutes later)

Brief Answer:
Which drug list you are having?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Tell me the drug list you are having, so that I can guide you better what to avoid.
I will be happy to help you further.
Wishing good health to your father in law. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (3 hours later)

We don't know yet which of the 4 he'll be prescribed. I don't have a list of the medications he's already taking (we're out of state and haven't gotten to where he is yet.) In general, I know he gets B12 shots monthly for pernicious anemia (I read you shouldn't take blood thinners with PA), something for non-insulin-dependent diabetes (might be metformin, but wouldn't swear to it), something for BP, maybe cholesterol. I don't think he takes any supplements, not sure about aspirin. Has a stent, which I also read you should not take B12 with a stent. Maybe with the blood thinners the cardiologist will remove the stent

I understand the manufacturers of some of these 4 meds have paid out hundreds of millions to settle internal hemmoraging lawsuits. Frankly, I think I'd rather take coumadin. Who cares if you have to get bloodwork every few weeks and stay away from K?

So, if you could tell us the categories of Rx meds that are contraindicated with whatever class of drugs those 4 anticoagulents are in, that would be a start. A list would be even better.

Thank you.

Answered by Dr. Drkaushal85 (9 hours later)

Brief Answer:
These newer anti coagulants are better than Coumadin.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Honestly speaking, these newer anti coagulants are better than Coumadin.
Here is your list of drugs which should be avoided while taking any of these four anti coagulants.
1. Clarithromycin
2. Azithromycin
3. Aspirin (better if avoid)
4. Fluconazole
5. Amiodarone
6. Carbamazepine
7. Citalopram
8. Cyclosporin
9. Diclofenac
10. Diltiazem
11. Ibuprofen
12. Itraconazole
13. Rifampicin
14. Mafenemic acid
15. verapamil
16. Nifedipine etc.
Please let me know
1. Is he having habit of drinking alcohol?
2. Is he a smoker?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your father in law.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (13 hours later)

4 - 5 glasses of wine a week, nonsmoker.

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
Better to reduce wine intake. 1 glass per week is enough.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, he should cut down his wine intake.
One glass per week is more safer for him.
It's good that he is nonsmoker.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wishing good health to your father in law. Thanks.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar